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Original Articles
The Retention Factors among Nurses in Rural and Remote Areas: Lessons from the Community Health Practitioners in South Korea
Hye Jin Park, Kyung Ja June
J Korean Acad Community Health Nurs. 2022;33(3):269-278.   Published online September 30, 2022
DOI: https://doi.org/10.12799/jkachn.2022.33.3.269
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  • 54 Download
AbstractAbstract PDF
Purpose
This study analyzed the retention factors of Korean community health practitioners who sustained over 20 years based on a multi-dimensional framework. This study suggests global implications for nurses working in rural or remote areas, even during a worldwide pandemic. Methods: The participants were 16 Korean community health practitioners who worked in rural or remote locations for over 20 years. This study identified nurses' key retention factors contributing to long service in rural and remote areas. This is a qualitative study based on the narrative method and analysis was conducted using grounded theory. A semi-structured questionnaire was conducted based on the following: the life flow of the participants' first experience, episodes during the work experience, and reflections on the past 20 years. Results: First, personal 'financial needs' and 'callings' were motivation-related causal conditions. The adaptation of environment-work-community was the contextual condition leading to intervening conditions, building coping strategies by encountering a lifetime crisis. The consequences of 'transition' and 'maturation' naturally occurred with chronological changes. The unique factors were related to the 'external changes' in the Korean primary health system, which improved the participants' social status and welfare. Conclusion: Considering multi-dimensional retention factors was critical, including chronological (i.e., historical changes) and external factors (i.e., healthcare systems), to be supportive synchronously for rural nurses. Without this, the individuals working in the rural areas could be victimized by insecurity and self-commitment. Furthermore, considering the global pandemic, the retention of nurses is crucial to prevent the severity of isolation in rural and remote areas.
The Relationships between Rural Elderly’s Suicide Literacy, Suicide Stigma and Coping Advice for Suicide Prevention: The Moderated Mediation Effect of Social Expectations for Experiencing Negative Emotions
Soon Tae An, Han Nah Lee, Jeong Hee Cho
J Korean Acad Community Health Nurs. 2022;33(2):164-174.   Published online June 30, 2022
DOI: https://doi.org/10.12799/jkachn.2022.33.2.164
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  • 29 Download
AbstractAbstract PDF
Purpose
The purpose of this study is to examine the effects of the rural elderly suicide literacy level upon suicide stigma and coping advice with suicidal crises (recommending professional help for a suicidal person). In particular, this study investigates the role of cultural norms (perceived social expectations for the experience of negative emotions) on suicide stigma and coping ability. Methods A survey was conducted addressing elderly people (N=119) living in rural areas. Regression analysis using SPSS PROCESS macro was used to examine the relationships among the key variables. Results Participants with higher suicide literacy showed lower suicide stigma, and this perception had a significant effect on enhancing their coping advice with suicidal crises. Also, perceived social expectations significantly influenced the relationship between suicide stigma and coping advice. With lower levels of social expectations, the mediating effect of suicide stigma on the relationship between suicide literacy and recommending professional help did not exist whereas the indirect effect was significant when it pertained to high levels of social expectations. Conclusion This result signifies that suicide stigma serves as a barrier deterring Koreans from reaching out for professional help regarding their mental health. Moreover, these findings underscore the importance of cultural psychological factors such as perceived social expectations in terms of developing suicide prevention strategies.
Factors Associated with Physical Activity in Older Adults by Region: Based on the 2017 Community Health Survey
Hyun Ju Lee, Yeong Suk Lee, Jung Mi Yun
J Korean Acad Community Health Nurs. 2020;31(Suppl):563-576.   Published online December 31, 2020
DOI: https://doi.org/10.12799/jkachn.2020.31.S.563
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  • 23 Download
  • 4 Citations
AbstractAbstract PDF
Purpose
The purpose of this study is to identify personal factors, social factors, and environmental factors related to physical activity in older adults in urban and non-urban areas. Methods: We used source data from the 2017 Community Health Survey. The subjects of this study included some older adults aged 65 and over, and analyzed the data of 23,043 older adults living in the urban and 34,063 older adults living in the non-urban area. Results: The common factors influencing physical activity in older adults by region include current smoking and drinking, BMI, sleep duration, and subjective health status, help with neighbors, frequency of meeting with neighbors and friends, participation in social and leisure activities, and falls experience (p<.001). However, the living environment, public transport satisfaction, and medical service use significantly associated with physical activity for only older adults living in the urban area (p<.001). Conclusion: In order to improve physical activity in older adults in the community, it is necessary to consider not only the improvement of individual factors that practice health behaviors but also health promotion strategies that take into account social and environmental factors because there are environmental differences among regions.

Citations

Citations to this article as recorded by  
  • Bridging the Built and Social Environments: A Systematic Review of Studies Investigating Influences on Physical Activity
    Tyler Prochnow, Laurel S. Curran, Christina Amo, Meg S. Patterson
    Journal of Physical Activity and Health.2023; : 1.     CrossRef
  • Symptom profiles and their influencing factors among people with subjective cognitive decline: a secondary analysis of cross-sectional data from the 2019 Korea Community Health Survey using latent class analysis
    Hohyun Seong, Jongmin Park
    BMJ Open.2023; 13(8): e072236.     CrossRef
  • Determinants of Physical Activity in Older Adults in South-Eastern Poland
    Agnieszka Wiśniowska-Szurlej, Agnieszka Ćwirlej-Sozańska, Anna Wilmowska-Pietruszyńska, Bernard Sozański
    International Journal of Environmental Research and Public Health.2022; 19(24): 16922.     CrossRef
  • Body mass index, subjective body shape, and suicidal ideation among community-dwelling Korean adults
    Chae Eun Yong, Young Bum Kim, Jiyoung Lyu
    Archives of Public Health.2021;[Epub]     CrossRef
The Effect of Nordic Walking Exercise on Physical Indicators and Subjective Happiness of the Middle-aged in Rural Area
Chan Mi Lee, Young Suk Park
J Korean Acad Community Health Nurs. 2020;31(1):65-75.   Published online March 31, 2020
DOI: https://doi.org/10.12799/jkachn.2020.31.1.65
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  • 16 Download
AbstractAbstract PDF
Purpose
The purpose of this study was to identify the effect of regular Nordic walking exercise on the physical indicators and subjective happiness of middle-aged rural residents.
Methods
A pretest and posttest design with a nonequivalent control group was conducted. The participants of experimental and control group were each 21 subjects from 40 to 64 years old. The Nordic walking exercise program consisted of 24 sessions which were focused on group exercise, and was conducted three times a week for eight weeks.
Results
The experimental group showed significant decreases in body mass index (p=.042), body fat (p<.001), and abdominal fat (p=.026). The experimental group showed significant increases in muscle mass of right lower limb (p=.009) and left lower limb (p=.016) but was not statistically significant in right, left upper limbs and body. On the other hand, the control group showed significant decreases in muscle mass of right upper limb (p=.034), left upper limb p=.038), and body (p=.034). There were no significant differences in systolic blood pressure, diastolic blood pressure, and subjective happiness between the experimental and the control group.
Conclusion
The Nordic walking exercise should be actively encouraged to improve health of the middle-aged in rural area.
Health Promotion Behaviors of Rural Elderly Women Living Alone and Their Life Satisfaction
Ha Jeong Kim
J Korean Acad Community Health Nurs. 2016;27(3):254-261.   Published online September 30, 2016
DOI: https://doi.org/10.12799/jkachn.2016.27.3.254
  • 1,118 View
  • 3 Download
  • 4 Citations
AbstractAbstract PDF
PURPOSE
This study was conducted to investigate the correlation between degrees of health promotion behaviors and life satisfaction and effects of health promotion behaviors on life satisfaction in rural elderly women living alone.
METHODS
A descriptive correlation study was conducted with 189 rural elderly women living alone aged 65 or older in four senior counties in Jeollanam-do. Descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation, and multiple regression.
RESULTS
The subjects' health promotion behaviors and life satisfaction were significantly positive. Among the factors influencing the subjects' life satisfaction, nutrition and diet showed the greatest positive effects, followed by exercise and activity, and drinking and smoking. Among them, drinking and smoking had significantly negative influence.
CONCLUSION
Among the health promotion behaviors that influenced life satisfaction, nutrition and diet, exercise and activity, and drinking and smoking were most significant factors. Therefore, this study provided basic data for improving the life satisfaction among rural elderly women living alone.

Citations

Citations to this article as recorded by  
  • Ageing Perception as a Key Predictor of Self-Rated Health by Rural Older People—A Study with Gender and Inclusive Perspectives
    Vanessa Zorrilla-Muñoz, María Silveria Agulló-Tomás, Carmen Rodríguez-Blázquez, Alba Ayala, Gloria Fernandez-Mayoralas, Maria João Forjaz
    Land.2022; 11(3): 323.     CrossRef
  • Perceived Barriers to Rural Elderly Women’s Health-Promoting Behaviors: An Ecological Perspective
    Hyunjung Moon, Sunkyung Cha, Eunyoung Park
    International Journal of Environmental Research and Public Health.2020; 17(17): 6107.     CrossRef
  • Effect of a Comprehensive Health Care Program on Blood Pressure, Blood Glucose, Body Composition, and Depression in Older Adults Living Alone: A Quasi-Experimental Pretest–Posttest Study
    Eun Jeong Hwang, In Ok Sim
    International Journal of Environmental Research and Public Health.2019; 17(1): 220.     CrossRef
  • Effects of Social Support on Health Promotion Behavior through the Mediating Effect of Self-efficacy in Older Women Living Alone
    Ji Hyun Oh
    Journal of Korean Gerontological Nursing.2018; 20(3): 177.     CrossRef
Prevalence of the Metabolic Syndrome and Its associated Factors among Elders in a Rural Community
Bong Jeong Kim
J Korean Acad Community Health Nurs. 2013;24(2):225-235.   Published online June 30, 2013
DOI: https://doi.org/10.12799/jkachn.2013.24.2.225
  • 762 View
  • 1 Download
  • 2 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study is to identify the prevalence of the metabolic syndrome (MS) and factors associated with it among elders in a rural community.
METHODS
Data were collected from 683 subjects with a questionnaire, physical measurement, and blood test. The prevalence of the MS was determined by AHA/NHLBI and waist circumference cutoff points for Koreans.
RESULTS
The prevalence of the MS was 50.5% in total (41.6% in men, 56.3% in women) while the prevalence of 5 metabolic risk factors was 67.7% for elevated blood pressure, 51.0% for low HDL-cholesterol, and 50.2% for abdominal obesity. Risk factors associated with the prevalence of the MS included family history, BMI, and physical activity; significant factors associated with that of metabolic components included family history, BMI, smoking, drinking, and physical activity. Especially, a higher BMI was a strong risk factor of the prevalence of abdominal obesity as well as the MS and its components.
CONCLUSION
The findings indicate that nurses should care for elders based on each metabolic component regarding its prevalence level and concentrate primarily on reducing elevated blood pressure, low HDL-cholesterol by controlling the main risk factor, abdominal obesity through lifestyle modification.

Citations

Citations to this article as recorded by  
  • Sociodemographic and Health Characteristics Associated with Metabolic Syndrome in Men and Women Aged ≥50 Years
    Goeun Chung, Hye-Sun Jung, Hye-Jin Kim
    Metabolic Syndrome and Related Disorders.2021; 19(3): 159.     CrossRef
  • Prevalence and correlates of metabolic syndrome and its components in elderly Korean adults
    Seonho Kim, Wi-Young So
    Experimental Gerontology.2016; 84: 107.     CrossRef
Prescription Drug Use in Primary Health Care Posts and Its Improvement Scheme
Chun Mi Kim, Yeon Yi Song, Kyung Ja June, Sa Saeng Hyeon, Hyun Ju Shin
J Korean Acad Community Health Nurs. 2013;24(2):123-134.   Published online June 30, 2013
DOI: https://doi.org/10.12799/jkachn.2013.24.2.123
  • 1,048 View
  • 1 Download
  • 1 Citations
AbstractAbstract PDF
PURPOSE
The prescription drug list for primary treatment by community health practitioners has been maintained for 30 years without any modification. Thus, this study will suggest an improvement scheme of prescription drug list for primary health care posts through an analysis of drug use in those posts.
METHODS
A questionnaire survey was implemented with community health practitioners from April to June in 2012. A total of 1,249 copies were analyzed. As for the databases of drug use in the integrated information, a total of 154,229 diagnoses selected in the method of stratified cluster sampling from 39 primary health care posts'data were analyzed. We consulted some experts about the prescription medication list, and referred to the medication information on-line home page for up-to-date drug information.
RESULTS
This study ultimately suggests 77 prescription drug items for primary health care posts by eliminating 35 items and replacing 1 item from the original list, and adding 4 items to it.
CONCLUSION
This study will provide basic data for revising the prescription drug list in primary health care posts by periodically reflecting adverse effects in the existing drugs, demographic and environmental changes, and development of new drugs.

Citations

Citations to this article as recorded by  
  • Job Competencies and Educational Needs Perceived by New Community Health Practitioners
    Hyun Kyung Kim, Young Eun, Kyung Ja June, Ae Young So, Hee Gerl Kim, Mi Ran Eom, Yeon Yi Song, Eun Suk Choi, Ji Yeon Park, Hyoung Suk Kim
    Journal of Korean Academy of Community Health Nursing.2014; 25(2): 85.     CrossRef
Looking Back the Past 30 Years: Activities and Achievements of Community Health Practitioners in Rural and Remote Areas in Korea
Chun Mi Kim, Kyung Ja June
J Korean Acad Community Health Nurs. 2012;23(1):51-62.   Published online March 31, 2012
DOI: https://doi.org/10.12799/jkachn.2012.23.1.51
  • 761 View
  • 13 Download
  • 3 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study was to identify community health nursing activities that community health practitioners perceive and their achievements in community by reviewing the community health nursing activities that community health practitioners have done for the last 30 years.
METHODS
This study was a qualitative study. Thirty one community health practitioners were interviewed using the focus group interview method and data were analyzed using content analysis. Data were collected from April to June in 2011.
RESULTS
Community health practitioners perceived themselves as "Community Vitalizers" and 9 categories were identified. They were 'ground to explore new nursing areas', 'assimilation to community', 'ground to establish community diagnosis', 'everyday life health management in the community', 'increased accessibility to medical services for the residents', 'enforced health practices for the residents', 'reinforced self-reliance of community', 'commitment to making a happy village' and 'mental fence of the community.' CONCLUSION: This study was meaningful in that it explained the unique identity of the community health practitionersand could be used as important basic materials in the process of re-establishment of the roles of Health Offices. Hereafter in-depth study on community competence reinforcement should be made to identify the roles of community health nurses.

Citations

Citations to this article as recorded by  
  • Effects of Nursing Professionalism and Job Stress on the Problem Solving Ability of Community Health Practitioners
    Min Sun Song, Nam Young Yang, Jin Hak Kim
    Journal of Korean Academy of Nursing Administration.2020; 26(3): 274.     CrossRef
  • The Role of Community Health Nurse in Assay Written by a Nurse Practitioner of Primary Health Care Post
    Young Ran Chin, Hyun Kim
    Journal of Korean Public Health Nursing.2016; 30(2): 300.     CrossRef
  • Job Competencies and Educational Needs Perceived by New Community Health Practitioners
    Hyun Kyung Kim, Young Eun, Kyung Ja June, Ae Young So, Hee Gerl Kim, Mi Ran Eom, Yeon Yi Song, Eun Suk Choi, Ji Yeon Park, Hyoung Suk Kim
    Journal of Korean Academy of Community Health Nursing.2014; 25(2): 85.     CrossRef
Influencing Factors on Functional Health Literacy among the Rural Elderly
Ji Yeon Park, Kyung Ja June
J Korean Acad Community Health Nurs. 2011;22(1):75-85.   Published online March 31, 2011
DOI: https://doi.org/10.12799/jkachn.2011.22.1.75
  • 1,356 View
  • 17 Download
  • 35 Citations
AbstractAbstract PDF
PURPOSE
The purpose of this study was to describe the status of the functional health literacy of the elderly living in a rural community and to identify the influencing factors on the functional health literacy.
METHODS
Subjects (n=238) aged over 60 years were selected for data collection. Functional health literacy was measured by Korean Health Literacy, which consisted of 15 items including eight numeracy and seven comprehension items. Descriptive statistics, t-test, ANOVA with Scheffe test, and stepwise multiple regression were used to analyze the data.
RESULTS
The mean score of total functional health literacy was 6.66+/-3.31, numeracy was 3.52+/-1.76, and comprehension was 3.41+/-2.10. Of the subjects, 39.1% showed a low score below the median split. In the results of stepwise multiple regression, the factors affecting functional health literacy were basic literacy, age, number of chronic diseases, self-reported health status, and gender. These factors accounted for 33.0% of functional health literacy.
CONCLUSION
These results suggest that interventions for improving functional health literacy are necessary to enhance elders' ability of self-care management. In addition, it is needed to take into account the individual characteristics of the subjects depending on their gender, age, and health status.

Citations

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  • Analysis of factors influencing health literacy of older adults by applying the Anderson model
    Eungyeong Kim
    Educational Gerontology.2024; 50(2): 140.     CrossRef
  • Relationships Among Health Literacy, Self-Efficacy, Self-Management, and HbA1c Levels in Older Adults with Diabetes in South Korea: A Cross-Sectional Study
    Geun Young Jang, Soo Jung Chang, Jun Hee Noh
    Journal of Multidisciplinary Healthcare.2024; Volume 17: 409.     CrossRef
  • Cross-Cultural Adaptation and Validation of the Korean Version of the Body Image After Mastectomy Scale
    Sook Jung Kang, Goh Eun Choi
    Seminars in Oncology Nursing.2024; 40(1): 151576.     CrossRef
  • Scoping review: Influence of cisgender male and female genders on health literacy of the elderly people
    Mark Stephan Felix, Patreeya Kitcharoen, Thi Ngoc Phuc Le, Min Wei, Dewi Cahyani Puspitasari, Haihu Guo, Weiyun Jin
    Health & Social Care in the Community.2022;[Epub]     CrossRef
  • Cultural Capital and Tobacco-related Health Literacy in Pregnant Women and the Relationship with Fetal Smoke Exposure
    Afsaneh Tavassoli, Maliheh Abedi, Sara Modares Gharejedaghi
    International Journal of High Risk Behaviors and Addiction.2022;[Epub]     CrossRef
  • Story Telling Problem Based Learning (ST-PBL): A Program for Rural Elderly with Chronic Diseases
    Jeong-Hyeon Kong, Eun-Young Jung, Ji-Hye Seo, Jeong-Ja Im
    Journal of Problem-Based Learning.2022; 9(1): 37.     CrossRef
  • Direction of national policy for health literacy in Korea
    Dong-Jin Park, Kwang Wook Koh, Ju Yul Lee
    Korean Journal of Health Education and Promotion.2022; 39(4): 1.     CrossRef
  • Üçüncü Yaş Üniversitesi Öğrencilerinin Sağlık Okuryazarlık Düzeyinin Belirlenmesi
    Sümeyye BAKIR, Ruken YAĞIZ ALTINTAŞ, Sevnaz ŞAHİN, Gül ERTEM
    Avrasya Sağlık Bilimleri Dergisi.2022; 5(3): 12.     CrossRef
  • Association Between Health Literacy and Health Promoting Behavior (Eating Habits, Physical Activity, and Stress) of University Students
    Yoon-Sun Kim
    Korean Journal of Community Nutrition.2022; 27(2): 94.     CrossRef
  • An exploratory study of the efficacy of medical illustration detail for delivering cancer information
    Makiko Haragi, Masayo Hayakawa, Otome Watanabe, Tomoko Takayama
    Journal of Visual Communication in Medicine.2021; 44(1): 2.     CrossRef
  • Flood Preparedness Literacy and Behaviors in Community Dwelling Older Adults
    Panisa Boonyaratkalin, Suphamas Partiprajak, Noppawan Piaseu
    Disaster Medicine and Public Health Preparedness.2021; 15(4): 452.     CrossRef
  • Development of a Health Literacy Program for Parents of Children with Cancer: A Mixed-Methods Study Protocol
    Masoud Bahrami, Ahmad Ali Eslami, Alireza Moafi, Somaye Sayahi
    International Journal of Cancer Management.2021;[Epub]     CrossRef
  • Validity and Reliability of the Korean Version of Assessment of Health Literacy in Breast and Cervical Cancer Screening
    Hye Sook Shin, Eunlim Chi, Hae-Ra Han
    Journal of Korean Academy of Nursing.2021; 51(6): 769.     CrossRef
  • Predictors of Internet Use Among Older Adults With Diabetes in South Korea: Survey Study
    Sunhee Park, Beomsoo Kim
    JMIR Medical Informatics.2020; 8(12): e19061.     CrossRef
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    Heeran Chun, Ju Yul Lee
    Korean Journal of Health Education and Promotion.2020; 37(1): 1.     CrossRef
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    Sunhee Park, Beomsoo Kim
    Primary Care Diabetes.2020; 14(6): 692.     CrossRef
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    Yoon-Sook Kim, Hyun Ah Kim, Moon-Sook Kim, Hyuo Sun Kim, Mi Jeong Kwak, Jahae Chun, Jee-In Hwang, Hyeran Kim
    International Journal of Environmental Research and Public Health.2020; 17(19): 7308.     CrossRef
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    Min‐Sun Song, Soohyun Park
    Journal of Clinical Nursing.2020; 29(21-22): 4313.     CrossRef
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    Hyenam Hwang
    Asian Oncology Nursing.2016; 16(4): 234.     CrossRef
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    Seok Hee Jeong, Hyun Kyung Kim
    Patient Education and Counseling.2016; 99(11): 1880.     CrossRef
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    Myo-Sung Kim, Ihn-Sook Jeong
    Journal of East-West Nursing Research.2016; 22(1): 41.     CrossRef
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    Soo Jin Kang, Mi Sook Lee
    Korean Journal of Health Education and Promotion.2015; 32(4): 93.     CrossRef
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    Eun Ae Koh, Hyojung Park
    Korean Journal of Adult Nursing.2015; 27(4): 397.     CrossRef
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    Eun-Young Jung, Sun-Kyung Hwang
    Korean Journal of Adult Nursing.2015; 27(3): 251.     CrossRef
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    American Journal of Men's Health.2015; 9(5): 370.     CrossRef
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    Jeong Hee Jeong, Jung Soon Kim
    Journal of Korean Academy of Community Health Nursing.2014; 25(1): 65.     CrossRef
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    Journal of Korean Academy of Community Health Nursing.2014; 25(1): 54.     CrossRef
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    Eun Jung Ahn, In Soo Kwon
    Child Health Nursing Research.2014; 20(4): 322.     CrossRef
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    Sungeun Kim, Jina Oh, Yunmi Lee
    The Journal of Korean Academic Society of Nursing Education.2013; 19(4): 558.     CrossRef
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    Jisook An, Hye-Ryun Kim, Sook Ja Yang
    Journal of Korean Academy of Community Health Nursing.2013; 24(4): 377.     CrossRef
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    Hyun-Jeong Ju, Hyo-Won Oh, Heung-Soo Lee
    Journal of Korean Academy of Oral Health.2013; 37(2): 81.     CrossRef
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    KyeHa Kim, EunA Cho
    Journal of the Korean Society of Food Culture.2013; 28(3): 303.     CrossRef
  • A Study on Relationships between Health Literacy, Disease-related Knowledge and Compliance to Medical Recommendations in Patients with Hypertension
    Myung Soon Kwon, Ghee-Young Noh, Ji Hye Jang
    Journal of Korean Public Health Nursing.2013; 27(1): 190.     CrossRef
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    Youn-Jung Son, Eun-Kyeung Song
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 6.     CrossRef
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    In Hwa Hong, Young Eun
    Korean Journal of Adult Nursing.2012; 24(5): 477.     CrossRef
The Effect of an Exercise Program on Middle-aged and Aged Women in Rural Areas
Hee Kyoung Hyoung, Inn Oh Moon, Yun Suk Jeong
J Korean Acad Community Health Nurs. 2008;19(4):545-553.   Published online December 31, 2008
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AbstractAbstract PDF
PURPOSE
This study was conducted to test the effect of a 12-week exercise program on body composition, blood pressure, blood glucose, blood lipid and bone mineral density for middle-aged and aged women in rural areas.
METHODS
The subjects were 33 women at the age of 40-75. For statistical analysis, descriptive statistics and paired t-test were used with SPSSWIN 16.0.
RESULTS
The results were summarized as follows. First, body weight, BMI, % body fat, abdominal adipose, and waist circumference of the women decreased significantly after implementing the 12-week exercise program. Second, diastolic blood pressure, serum cholesterol, triglyceride, and LDL decreased significantly, and the HDL level increased significantly after the 12-week exercise program. Third, bone mineral density did not increase significantly after the program.
CONCLUSION
These results suggest that the exercise program has an effect in decreasing body composition, and improving blood pressure, blood glucose, and blood lipid in middle-aged and aged women.
Coping with Experiences in Multiple Chronic Diseases in the Rural Elderly
Eun Ok Joung, Sung Bok Kwon, Ok Hee Ahn
J Korean Acad Community Health Nurs. 2007;18(1):32-41.   Published online March 31, 2007
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AbstractAbstract PDF
PURPOSE
The purpose of this study was to describe how the rural elderly cope with experiences in multiple chronic diseases.
METHOD
Data were collected through participant observation and in-depth interview using ethnography. The participants were 9 women and 2 men who aged over 65, were living in rural community, and had experienced two or more chronic diseases.
RESULTS
According to the results of this study, those who had experienced multiple chronic diseases went through the stages of 'recognizing of revealed symptoms', 'discovering of disease', 'overcoming', 'neglecting', 'discovering another disease', 'being frustrated' and 'living with suffering'.
CONCLUSION
The results of this study are expected to be utilized as basic materials to develop a nursing intervention program for effective management of chronic diseases.

RCPHN : Research in Community and Public Health Nursing
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